Gabriella A McTate

Primary specialty

Social WorkerTaxonomy code 104100000X

License

304 Issued in NE

Practice address

820 South 75TH Street
Omaha, NE 68114-4623

Phone

(402) 391-2477

Fax

(402) 397-4268

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Enrichment IncGroup PAC ID 5698728509, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Enrichment Inc

  • Social Worker
  • Omaha, NE
  • NPI 1164582169
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609936640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 SOUTH 75TH STREET",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144623",
            "telephone_number": "402-391-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SOUTH 75TH STREET",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144623",
            "telephone_number": "402-391-2477",
            "fax_number": "402-397-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCTATE",
        "first_name": "GABRIELLA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Shelton McReynolds, MS, LAT, ATC
• Taryn McReynolds, OTR/L
• Kimberly McRorie
• McTaggart OB-GYN, P.C.
• Jill C McTaggart, MD
• Haley McTee
• Deametria Linell McTizic
• Lanaye M McTizic
• Teresa Ann McTizic
• Timothy Patrick McVaney, DDS, MS

• Social Worker in Omaha, NE
• Providers in Omaha, NE by specialty
• Social Worker in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.